2023
DOI: 10.3390/medicina59010136
|View full text |Cite
|
Sign up to set email alerts
|

Endoscopic Management of Postoperative Esophageal and Upper GI Defects—A Narrative Review

Abstract: Anastomotic defects are deleterious complications after either oncologic or bariatric surgery, leading to high morbidity and mortality. Besides surgical revision in early stages or instable patients, endoscopic treatment has become the mainstay. To date, many options for endoscopic treatment in this setting exist, including fully covered metal stent placement, endoscopic vacuum therapy (EVT), endoscopic internal drainage with pigtail placement (EID), leak closure with through the scope or over the scope clips,… Show more

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...
4
1

Citation Types

0
16
0
4

Year Published

2023
2023
2024
2024

Publication Types

Select...
6

Relationship

0
6

Authors

Journals

citations
Cited by 9 publications
(20 citation statements)
references
References 109 publications
0
16
0
4
Order By: Relevance
“… 10 EID also works by passive drainage of the purulent material behind the fistulous tract. 11 In their case series, Toh et al reported successful closure of anastomotic defects using EID in 9 of 12 patients with upper GI fistulas. 12 However, we were not able to find any reports published in the literature where the EID method was used in the closure of an oropharyngeal defect as in our case.…”
Section: Discussionmentioning
confidence: 99%
“… 10 EID also works by passive drainage of the purulent material behind the fistulous tract. 11 In their case series, Toh et al reported successful closure of anastomotic defects using EID in 9 of 12 patients with upper GI fistulas. 12 However, we were not able to find any reports published in the literature where the EID method was used in the closure of an oropharyngeal defect as in our case.…”
Section: Discussionmentioning
confidence: 99%
“…With the advent of new techniques and therapeutic options, endoscopy has become an important player in the treatment of anastomotic leaks in the upper gastrointestinal Life 2023, 13, 1412 2 of 15 tract [12]. The endoscopic approach has been reviewed recently and encompasses internal drainage techniques of extramural collections using double-pigtail stents and closure techniques of the anastomotic defect using covered metallic stents, through-the-scope or over-the-scope clips, and endoluminal suturing [9,[12][13][14].…”
Section: Introductionmentioning
confidence: 99%
“…With the advent of new techniques and therapeutic options, endoscopy has become an important player in the treatment of anastomotic leaks in the upper gastrointestinal tract [ 12 ]. The endoscopic approach has been reviewed recently and encompasses internal drainage techniques of extramural collections using double-pigtail stents and closure techniques of the anastomotic defect using covered metallic stents, through-the-scope or over-the-scope clips, and endoluminal suturing [ 9 , 12 , 13 , 14 ]. A newly adopted option is endoscopic vacuum therapy (EVT), which has been shown to be very effective in draining extramural collections, reducing their size to even complete closure of the anastomotic defect, or improving the inflammatory tissue environment before redo surgery [ 15 , 16 , 17 , 18 ].…”
Section: Introductionmentioning
confidence: 99%
See 1 more Smart Citation
“…AL is mainly managed conservatively by nutritional support and infection control with antibiotics, but drainage is often required after a long duration of treatment [ 2 , 9 ]. Surgical interventions might be required when sepsis, a secondary fistula, and other refractory conditions occur [ 10 , 11 , 12 , 13 ]. However, several methods of endoscopic intervention have been reported, including tissue sealing using fibrin glue or cyanoacrylate [ 14 , 15 , 16 ], metal stents [ 17 , 18 , 19 , 20 , 21 , 22 ], endoscopic vacuum therapy [ 23 , 24 , 25 ], and suturing devices [ 26 , 27 ].…”
Section: Introductionmentioning
confidence: 99%